DR. TY HALL D.C.
NPI 1205215910
Chiropractor in Apple Valley, MN

Q: What is Ty Hall's NPI number?

The NPI number for Ty Hall is 1205215910. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Q: What is Ty Hall's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Ty Hall was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since May 27, 2015

14050 PILOT KNOB RD STE 120, APPLE VALLEY, MN 55124(952) 423-5050(952) 423-4560 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Mar 17, 2018, Sep 12, 2017 (3 updates tracked since 2017).

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About Dr. Ty Hall D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. TY HALL D.C. (NPI 1205215910) is an individual chiropractor in Apple Valley, Minnesota, licensed in Minnesota (6093) and active in the NPI registry since May 2015. He maintains a secondary practice location in Robbinsdale and is a graduate of Other (2015).

NPPES Registry Identity

NPI1205215910

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. TY HALLCredential: D.C.

Location Address14050 PILOT KNOB RD STE 120Apple Valley, MN 55124-6648

Mailing Address4080 W Broadway Ave, Suite 310Robbinsdale, MN 55422-5604 · (763) 746-1244 · Fax (763) 746-1246

Phone(952) 423-5050

Fax(952) 423-4560

Sole ProprietorNo

Medical School CMSOtherGraduated 2015

Enumeration DateMay 27, 2015

Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration

✔ NPI 1205215910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in MN · 6093

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

14050 PILOT KNOB RD STE 120, Apple Valley, MN 55124

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Secondary Practice Location 1

Location 14080 W Broadway Ave, Suite 310Robbinsdale, MN 55422-5604 · Phone (763) 746-1244 · Fax (763) 746-1246

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include HealthPartners.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ty Hall D.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577879667

PECOS Enrollment IDI20150903002700

Medicare Billing Reassignment

Medicare enrollment records show Ty Hall reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heffernan Enterprises PLLC

Same address

Clinic/Center

14050 PILOT KNOB RD
Apple Valley, MN 55124

Reassigned Medicare billing, Minnesota enrollment

NPI 1598165862 (952) 423-5050

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID C. GILIUSON D.C.

Chiropractor

14050 PILOT KNOB RD STE 120
APPLE VALLEY, MN 55124

Dakota County (952) 423-5050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ty Hall's NPI number?

The NPI number for Ty Hall is 1205215910. It was assigned to this individual provider in the NPPES registry on May 27, 2015.

Where is Ty Hall located?

Ty Hall practices at 14050 Pilot Knob Rd Ste 120, Apple Valley, MN 55124. The listed phone number is (952) 423-5050.

What is Ty Hall's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Ty Hall enrolled in Medicare?

Yes. Ty Hall is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ty Hall's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ty Hall reassigns Medicare benefits to Heffernan Enterprises PLLC (Apple Valley, MN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ty Hall's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ty Hall accept?

Health plans from HealthPartners list Ty Hall as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ty Hall was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.